REGIONAL DENTAL CENTER NPI 1154748218

NPI Information

REGIONAL DENTAL CENTER is a general practice dentist in Jacksonville, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. REGIONAL DENTAL CENTER NPI is 1154748218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 PELHAM RD S
JACKSONVILLE, AL
ZIP 36265-775
Phone: (256) 435-4464
Fax: (256) 435-2079

The provider's authorized official is William Bruce Young .
The authorized official title is Owner and has the following contact phone number (256) 435-4464.

The CLIA number assigned to this NPI record is 01D2154182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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